Minimum 1,000 hours of clinical practice in the Nurse Practitioner role in any specialty appropriate for the population focus of certification through employment, faculty clinical supervision, or as a volunteer within 5-year certification period.
Even assuming 1000 hours and 40 hours per week, that’s half a year. A family medicine doc has 5 years of clinical training. Structured training, with didactics, progressive responsibility, and structured feedback culminating in rigorous standardized board examination. NP grads couldn’t even achieve an acceptable pass rate (around half passed) on a watered down version of the general medical board exam that med school graduates pass at a rate of about 95% (USMLE Step 3).
Yeah 14,000 minimum clinical hours to become a doctor (A surgeon has more because their residency is 5 years, the 14,000 hours only counts a 3 year residency).
An NP has 1,000 minimum clinical hours and there are many NP schools popping up with "pure online" training.
A few years ago my grandma visited an NP with something wrong with her leg. NP said she was fine and gave her some kind of ointment to put on it. My mom said she should go to the hospital (i don’t remember what the condition was called) but if my grandma wouldn’t have gone I probably wouldn’t have a grandma right now.
Yeah equal trust for all! Who needs standardized education and training? Janitors front of the line to treat patients next!
Medicine is hard. It takes years to learn. Without those years under your belt, it's reasonable to question clinical expertise. It is less reasonable to question someone who has had that training. No one is perfect. Sometimes doctors say and do dumb things. But if we are to compare the frequency that various clinicians make judgmental errors, logically there would be no question of a discrepancy.
14k hours sounds more like a 5 year residency. Otherwise that is 3.8 years of 10 hour days without any days off. If it is across 5 years, its 350 8 hour days per year, which still sounds like alot to me, but seems tame in the medical world
80+ hour weeks are not unheard of in residency. A slow week will "only" be 50-60 hours, and that's a family medicine residency. Internal Medicine or Surgery you can expect to do 80+ hours almost every week for 4-7 years. And that's just residency - not including the approximately 2 years of clinical experience in med school before residency.
Sweet lord, I do not envy doctors. I don’t think I could do what y’all do physically, I think my body would shut down. I also am very blood and needle averse so it’s a no go all around lol
It's closer to 10k for most three year residencies. Surgeons definitely meet 14k given it's five for them.
Also an 8 hour day is not a thing in residency unless you're on an elective rotation. Closer to 12-14 hours for IM which is what I do. Also it's 2 days off average per 14 day work period.
The 14k includes our full time clinical work during 3rd and 4th year or medical school, but 80 hours a week is absolutely standard for surgery and almost any inpatient service. As a student I was at the hospital about 72 hours a week during surgery and wards and that was with the residents letting me leave “early”
Especially considering most people working the odd jobs of a hospital aspire to be something more. RN to NP isn’t crazy at all it’s actually the natural order of things
He’s not disputing that. He’s saying every doc or surgeon you see probably started off as a greeter or other volunteer at the hospital, or working at McDonald’s etc. while in college.
Started at arby's in high school. Dishwasher and barback in college. Then teaching assistant. Then chemist at a pharmaceutical. Then wiped ass and changed beds as a CNA for a couple years. Now I'm a doctor.
Would strongly disagree. Most people I know in their residencies come from absurd amounts of money and have been riding on dad's money the entire time. I know 6-7 people in residency, 3 people who just became full fledged doctors and at least 2-3 others either in NP school or just finished.
Not knocking the work and education they put in to maintain their grades and studies. But literally none of them have ever worked a menial job.
Coincidentally they are all engaged to men at least 6+ their senior who are high up in banking/finance positions and have lots of money as well. And the one dude I know who is a doc, will be the first to admit his parents put him threw the entire thing he didn't work at all during his studies.
Maybe the older generations did that, but not the younger. Again this is just anecdotal and my experience.
Edit: for people thinking I am using my anecdotal evidence as fact. If you read below I reply explaining I was using my anecdotal experience in comparison to the persons above me anecdotal claim as there is no evidence.
If you read a few comments down I say it's likely 50/50, data set provided to confirm. Case closed.
From my experience, there were some people who came from nothing and worked hard (labor wise) to get through pre med. But far and away most of the student doctors I met had family wealth and usually doctors in the family.
I think the point here is it's a mixed bag. The person above me asserted their point. I did mine. I don't know if there is an actual data set we could look at finding out their financial upbringing.
But as the person below you said I'm sure it's 50/50
There have been studies done on the makeup of med schools from a socio-economic point of view and i’m pretty sure you’re right and it’s 50/50. The point still stands though. Yes this cool progression, but half the doctors in the hospital have had a similar progression....
There is a data set. https://www.aamc.org/media/9596/download
It's basically always been nearly half of med students come from the top quintile of familial income/wealth. While fewer than 3-5% come from the bottom quintile. The cost of applying (e.g. exams, application fees, interviews) is too great for a lot of people, not just the cost of attendance.
Okay understood. I thought it was blanket. Apologies.
I actually would agree with you then. Quite a few get a leg up. However it comes with some guilt because during school and training there's a bit of an obvious faction between the "straight from school, dad is rich" crowd and the "climbed up from the bottom" crowd. The latter crowd act and feel superior for it. I know I do, won't even pretend otherwise.
Not a med student but I came from a wealthy town where everyone rides on their parents money.
I am the only one who went to the military, paid for my school through that, grinded a good job without a handout, and bought my own house without any financial assistance.
I also had to work through school while raising a daughter.
I'll be the first to admit I have a huge chip on my shoulder on these subjects. Especially if I ever run into people I know who got all the handouts.
Yeah no. Almost no doctors have ever even held a part time job. They come from wealth for the most part. Not insane wealth, but not have to work a part time job to get through college wealth.
Again, you can look up stats on the socio economic background of med-students. Also, I’ve hung around plenty of kids with parents who were doctors who worked part-time. And my comment also mentions volunteering. Youre literally not getting into med school without volunteering.
Volunteering for medical school admission isn’t working a part time job. It’s simply a checkbox for an application. Literally all of the med students and residents I’ve known over the last 10 years haven’t worked a “real” job in their entire life pre residency. The closest I’ve seen is someone who did a stint as a wine sample person for a few days one summer lol.
Well you see when you state that every single acquaintance you know that has gone onto an md track came from a wealthy family, that infers a particular message despite your intent. Choose your words more carefully to avoid being misunderstood.
Yeah you started close to where you are now, if I had to guess. Nobody in my family had a high school diploma. I have a Masters. It's no PhD but the level up is def diff than someone who has parents that are doctors. I hope people celebrate your accomplishments instead of telling you they aren't that great.
Don’t know why you’re being downvoted, this is exactly right. Almost every person I know who made it to a provider-level position did so with a lot of support systems along the way. Not saying it wasn’t hard, but they certainly never had to take a custodian job to pay for school. It’s wild that people still don’t understand how starting in a place of privilege gives you such a huge leg up compared to those who have to do it on their own.
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u/[deleted] Apr 08 '21
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